어린이에서 수술 중 엎드린 자세와 누운 자세에서의 심박수변이도의 비교

김혜경,김종성,김성덕,김희수,염명걸,백진우 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.41 No.4

Comparison of Heart Rate Variability between the Supine and Prone Plsition during General Anesthesia in Children Hee-Soo Kim, M.D., Jin-Woo Baik, M.D., Chong Sung Kim, M.D., Seong Deok Kim, M.D. Myung0Kul Yum, M.D.^*, and Hae Kyung Kim, M.D.^?? Department of Anesthesiology, College of Medicine, Seoul National University ^*Department of Pediatrics, College of Medicine, Hanyang University ^??Department of Anesthesiology, College of Medicine, Inha University, Incheon, Korea Background: It is well known that the prone position affects hemodynamics. In this study, we investigate whether the prone position will affect the heart rate variability compard with the supine position. Methods: Sixty five pediatric patients were assigned to supine group (n = 36) and prone group (n = 29) according to position during surgery. The patients were indeced with thiopental and vecuronium and maintained with O_2-enflurane-N_2O. ECG data was collected for 15 minutes after saturation at the end tidal concentration of the inhalent agent. From the ECG data, power spectral analysis was performed and approximate entropy was calculated. Results: IN the prone group, low frequency power and ratio of low to high frequency power were lower and approximate entropy was higher than those in the supine group. Mean heart rate and blood pressure were no different between the two groups. Conclusions: IN the prone position, sympathetic autonomic activity and balance of the autonomic nervous system decreased. However the complexity of regulation of heart rate variability was maintained in the prone position. (Korean J Anesthesiol 2001; 41: 455~460)

서울의 Penicillinase Producing Neisseria Gonorrhoeae 발생빈도(1996)

김재홍,황동규,전재홍,김윤석,김중환,김용준,이창균,임동진,김현수,조창근,김경문,박상훈,전우형,김희성,이호정,차명수,김갑형,김형석,김석우,황지환,박병순,권오상,이민수,송기훈,성소영,이인섭,부태성 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.2

Background : In recent years, gonorrhea has been panedemic and remains one of the most commom STDs in the world, especially in developing countries. Objective & Methods: For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we have been trying to study the patients who have visited the VD Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results: In 1996, 139 strains of N. gonorrhoeae were isolated, among which 53(39.0%) were PPNG. Conclusion: Our results suggests that after a peak of 74.3% in 1993, the prevalence of PPNG in Seoul is gradually declining.

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

Surgical technique for single-port laparoscopy in huge ovarian tumors: SW Kim`s technique and comparison to laparotomy

( Jeong Sook Kim ),( In Ok Lee ),( Kyung Jin Eoh ),( Young Shin Chung ),( Inha Lee ),( Jung-yun Lee ),( Eun Ji Nam ),( Sunghoon Kim ),( Young Tae Kim ),( Sang Wun Kim ) 대한산부인과학회 2017 Obstetrics & Gynecology Science Vol.60 No.2

Objective This study aimed to introduce a method to remove huge ovarian tumors (≥15 cm) intact with single-port laparoscopic surgery (SPLS) using SW Kim`s technique and to compare the surgical outcomes with those of laparotomy. Methods Medical records were retrospectively reviewed for patients who underwent either SPLS (n=21) with SW Kim`s technique using a specially designed 30×30-cm2-sized 3XL LapBag or laparotomy (n=22) for a huge ovarian tumor from December 2008 to May 2016. Perioperative surgical outcomes were compared. Results In 19/21 (90.5%) patients, SPLS was successfully performed without any tumor spillage or conversion to multi-port laparoscopy or laparotomy. There was no significant difference in patient characteristics, including tumor diameter and total operation time, between both groups. The postoperative hospital stay was significantly shorter for the SPLS group than for the laparotomy group (median, 2 [1 to 5] vs. 4 [3 to 17] days; P<0.001). The number of postoperative general diet build-up days was also significantly shorter for the SPLS group (median, 1 [1 to 4] vs. 3 [2 to 16] days; P<0.001). Immediate post-operative pain score was lower in the SPLS group (median, 2.0 [0 to 8] vs. 4.0 [0 to 8]; P=0.045). Patient-controlled anesthesia was used less in the SPLS group (61.9% vs. 100%). Conclusion SPLS was successful in removing most large ovarian tumors without rupture and showed quicker recovery and less immediate post-operative pain in comparison to laparotomy. SPLS using SW Kim`s technique could be a feasible solution to removing huge ovarian tumors.

朝鮮王朝實錄에 記載된 孝女·節婦에 관한 小考 : 太祖實錄∼中宗實錄을 中心으로 From the Tae-jo Authentic History to the Jung-Jong Authentic History

金璟鎭 淑明女子大學校 亞細亞女性問題硏究所 1977 아시아여성연구 Vol.16 No.-

The writer layed emphasis on the 81 selected women of filial daughters anti. the virtuous women, who were descripted from The Tao-Jo authentic history to the Jung-Jong authentic history among the authentic record of Yi Dynasty. (3 women among Tae-Jo authentic record, 15 women from Tae-Jong, 21 women from Se-Jong. 25 women from Dan Jong. 11 women from Sung Jong, 2 women from Yeon San Gun and 4 women from Jung Jong) The writer's aim of this study is as follows; namely, the write- believes that the basic spiritual attitude of traditional women of Yi-Dynasty can be a kind. of pattern to such a modern women like those -who have w) definite subject and right vi:,w of value for the filial duty .and the chastity, who had been considering their tired. and fatigued life as the god's will by looking about sacrifice, filial duty and perseverance, for which the zeal filial daughters and the virtuous women among the authentic record had experienced. $quot;The Virtuous women who were descripted in Tae Jo authentic record.$quot; Women of the Tae-Jo era kept, their chastity by committed suicide when the ,Japanese invaders were about to rap?, them with fierce violation. $quot;The filial daughters and the virtuous women, descripted in Tae-Jong authentic record.$quot; Young widows Of this era usually remained chaste all their lives with bobbed. hair or stretched a curtain by the graveyard of her husband and lived there for 3 years why taking care of it. And also supported her old parents-in-1aw, and after their death, she also spent 3 years mourning for her parents-in-law. Indispensable condition for womanhood at that tune was to perform responsibly the mourning salute for the honour to her family. Son's family, Oh's family, Seok's family, Lee's family etc. All of them are famous for their mourning salute. Furthermore, Miss Byun performed 3 years mourning .for her mother, and then another 3 years for her father according to the courtesy of mourning salute when sho. was 13 years old. By seeing Miss Byun's filial mind, we can emagine how children of that time had grown under the morale of confucianism $quot;The virtuous women and the filial daughters descripted in Se-Jong authentic record.$quot; In this time, the confucian courtesy especially became the basic one under the large family system, and also became the most important principle of the religious service for the ancester. Therefore there appeared so marry Virtuous women as though tire virtue of women means only remaining chaste. At this time, if young widow has no son, then she lived in the home of her birth. However, Kim's family for instance, though her parents, sisters and brothers forced her remarriage, She escaped to her husband's home and supported her parents-in-law by cooking delicious foods making new clothes. The wife of Mr. Kim Jun for instance, after 3 years of mourning for her dead husband, she remained chaste without eating any meat and garlic for 15 years. Meon Si for instance, when she was 13 year old, she cured her mother's insanity by cutting her finger. Such an extreme filial mind could cure even insanity. $quot;The filial daughters and the various women, descriped in Dan Jong authentic record$quot; With the lapse of time, The humber of the virtuous women increased, and the main reason pray be the awarding to the virtuous women in Se-Jong era. And also the spirit of $quot;wives should fellow the one way$quot; saturated to the public as an immovable strict regulation. The main factors of the courtesies were coronet, marriage, mourning and the religious service. Among these, the courtesies of mourning arid the religious service were the inheritance of the family so the formation was established with a deep connection. Most of the young widows at this tune refused the sincere remarriage request from the borne of her birth, then remained chaste, taking care of the graveyard for 3 year;, without eating any meat and garlic according tire family circumstances during her whole life Yang's family for instance, remained chaste by doing suicide, Oo Yong wore mourning cloth for- 3 years, Han's and Song's family 'worshiped the memorial tablet of her husband and payed her respect for 30 years atthe same way with the living people. Like these, the thoroughness of the religious service and the recommendation of the remaining chaste became stiff and settled. $quot;Virtuous women, descripted in Sung long authentic record.$quot; The aspect of the virtuous women at this time is a little different. Chabi and Gum Duk cut their finger for the purpose of curing their husbands' malignant disease by grinding cutted fingle to powder, mixing with soup and alcohol. Mrs. Hong Brought the memorial in her arm tablet from the fierce fire, Sungli worshiped the memorial tablet of her husband and also served religious service when the date of religious service comes, wore newly made cloth. After the service, burned up, that cloth, and lived without eating any meat and garlic for 20 years. $quot;Virtuous women, descripted in Yeon San Gun's Diary.$quot; At that time the reign of Yeon San was not long enough, so the tendency from the Tae Jong Era had not influened greatly. However, Yeon San's reign was digressive and also he was a tyrant. Yeon San hated and diliked so called filial daughters or the virtuous women. Of course there were no awaring for the filial women and the 100 days of mourning was popular between the lower class. But the most important and remarkable thing is, even in these kinds of circumstances, the story of the virtuous women were descripted in Yeom San Dairy. Shin's family, Mae Eub Duk kept their graveyards and never ate sole aind bean sance. And later, became a priestess with their hair cut, because their home of their birth forced then remarrige. Jang's family remained chaste with her hair cut and Park's family served every religious service, and after the service, burned up newly made cloth. $quot;Virtuous women, descripted in Jung-Jong authentic record.$quot; At this time, the confucian courtesy re-fixed and strengthened,-which were stopped during Yeon-San's Reign. And as for the mourning, the period fixed to 3 years. Lee's and Jin's families, spent 3 years mourning, served religious service and also worshiped the memorial tablet, then lived alone by serving memorial service during her whole life. Many aspects were appeared for remaining chaste. Among them, one is Min's family, she committed suicide only for that reason that she had no intention for remarriage.

일제강점기 초등교육의 본질 : 교육과정 요소를 중심으로 Goals and Objectives, Contents, Teaching Methods, and Evaluations

김경자,김민경,김인전,이경진,김유진 한국초등교육학회 2004 초등교육연구 Vol.17 No.1

이 연구에서는 초등교육의 본질을 탐색하기 위하여 일제강점기 초등교육에 대한 탐구를 하였다. 구체적으로 이 연구에서는 일제 강점기 교육제도, 교육목표, 교과 및 교육내용, 교육방법, 평가, 교원양성 등에 나타난 특수성을 탐구하고, 4차에 걸친 조선교육령 시기에 나타나는 규칙적인 현상을 밝혀보았다. 그리고 연구 결과는 이 연구에서 잠정적으로 전제한 공교육의 이상과 초등교육의 일반성과 관련지어 해석되었고, 이는 다시 현재 진행되고 있는 7차 초등교육과정과 관련하여 어떤 것이 지속되고, 어떤 것이 변화되었는지에 대한 논의로 전개되었다. 가능한 광범위하게 수집한 1차적 사료와 2차적 사료를 교육에 대한 관점별로 범주화하고 연구에서 다루고자 하는 요소별로 정리를 하였다. 필요한 경우, 직접 일제강점기 초등교육을 경험한 사람들을 면접하였다. 연구결과, 일제강점기 초등교육의 목표는 기형적인 "국민"을 길러내는 것이었으며, 이러한 목표를 달성하기 위한 교육내용, 교육방법, 교육평가는 기능적 측면에서 "잘", 효율적으로 기능할 수 있도륵 일관성을 유지하고 있는 것으로 나타났다. 이는 교육적일 수 없는 모순을 내재한 것이 된다. 따라서 일제강점기 초등교육에서 초등교육의 본질을 찾기가 어렵다는 결론을 내릴 수 있다. This research aims to seek the real nature of elementary education by investigating the system in Korea under the rule of Japanese imperialism (1909-1945). Special characteristics are identified in their goals and objectives, contents, teaching methods, and evaluations in elementary education system during the period. Futhermore, some regular phenomena are traced out during the four-time amendments of education rules in the law. Firstly, the results of this study are described in the viewpoint of the ideals in public education, which are tentatively proposed by our authors. Secondly, they are compared and contrasted to the 7th Amended National Curriculum of Korea in terms of the perspectives of curriculum. Some parts in the research are supported by the interviewees who had experienced in the elementary education during the imperialistic period. The result suggests that the system in the colonized period was conducted to cultivate the students who were inappropriate in compared with our ideals in the education. For the goals, the elements of the system in the above were consistently maintained and functionally well-carried out. Therefore, the system was not evaluated as educative intrinsically. Henceforth, the real nature of elementry education would not be drawn in the system during the rule in conclusion.

A Study on the Consciousness for Korean-Chinese Adaptation in Korea

Kim,Jong-Jin,Hwang,Moon-Young,Cho,Kyung-In,Kim,Pan-Jin 한국유통과학회 2019 KODISA ICBE (International Conference on Business Vol.2019 No.-

As the Korean society rapidly moves towards a multicultural society, the need for multicultural social integration of Koreans and new members of society (children of multicultural families, immigrated children, and foreign children) is increasing. There is an urgent need for multicultural education than ever for recognizing differences and diverseness among the community members and for avoiding discrimination and exclusion. The formation of learners identity, understanding and respect for social diversity, realization of the society of equality and justice, development of good citizenship, and alternatives to multicultural cross-curricular education for the creation of new culture should also be urgently prepared.

경찰관의 운동참여에 따른 직무 Stress와 직무만족에 관한 연구

김종달, 남덕현, 이한경, 반종진 용인대학교 체육과학연구소 2000 體育科學硏究論叢 Vol.10 No.1

This study is for the purpose of examining effects related to duty stress & duty satisfaction due to Police of officers' Physical exercise participation, helping more efficient duty Performance, and positive self-formation. Furthermore, providing basic data that can be helpful to the improvement of police duty. The objects of the study were police officers who were taking part in education program in Police Comprehensive Academy, and the number of police officers who answered the questionnaire is 356 police officers, but data used for real analyzation consist of 300 police officers. The tools for the study were based on Ivancevich's duty stress model in order to measure stress. And also questionnaire used on Kim yoon hee, Kim mae ja, Jo kyung soon, Lee hart kyung's study was used as a complementary tool. The instrument for measuring duty satisfaction rate was developed by Paula. And I used the instrument based on questionnaire that was used by Ko hee soon, Park ki hyung, Kim bum sik, Lee jong kil, Lim bun jang, Jo young chang, Hackeman, Lawlar and Oldham's study. Data analysis is Processed statistically with SPSS/PC+, I Performed T-verification, ANOVA-verification in accordance with the purpose of study after getting the percentage and the real number in case of general characteristics of the objects, and examine an average and standard variation in case of duty satisfaction and duty stress rate. And I set an err rate to 0.5. I verificated co-relation between stress and duty satisfaction with Pearson Correlation Coefficient. The result of the study is as follows, The first, among sociological characteristic and external factor of duty satisfaction, The married is more significant statistically(p< .01, p<.05) compared to the unmarried in terms of compensation system and working condition , which are subfactor of duty satisfaction . In terms of the length of one's service, the longer service term one has the higher significance level one shows in compensation system, working condition, safety, and external factor which are sub-factors of duty satisfaction In terms of an academic background, one who graduated from a high school shows significance statistically only in working condition which is a subfactor of duty satisfaction compared to other people (p<0.5) The second, among sociological characteristic and internal factor of duty satisfaction, the married is more significant statistically(P<.05) compared to the unmarried in terms of achievement which is a subfactor of duty satisfaction. In terms of age the older one shows higher significance level in stability which is a subfactor of duty satisfaction compared to younker one(p<.05) In terms of the length of one's service the longer service term one has ,the higher significance level one shows(p<.01, p<.05). The third, in terms of duty stress due to sociological variable, the married is more significant statistically(p<.05) in case of stress stems from police duty than the unmarried Interms of age, welfare and duty stress are significant statistically(P<.05) Interms of the length of one's service, police's work is significant statistically(P<.05). One who graduated from junior college is significant statistically in police's work, welfare, stress and gets a lot of stress in personal relations(p<.05). The forth, groups participating in exercise are more significant statistically in stability(p<.001), feeling of stability(P<.001), achievement(p<.001), internal factor(p<.01), external factor(p<.05) than croups not Participating in exercise. The fifth, groups participating in exercise are more significant statistically only in personal management than groups not participating in. The sixth co-relation between duty satisfaction and duty stress is r=-0.3814, (P<.001) ,which shows opposite co-relation. so, a result the more stress one has, the lower duty satisfaction he gets.

항암제 처리한 백혈병 세포주에서의 Apoptosis 발현

김삼용,윤소현,김현수,김종숙,윤환중,김진경,조덕연 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

The bcl-2 proto-oncogene encodes a 26 kD protein that promotes cell survival by blocking apoptosis. The bax protein is a member of the bcl-2 familly, now known to form heterodimers with the bcl-2 protein. The ratio of bax to bcl-2 is be critical in determining the fate of the cell in response to stimuli that can induce apoptosis. Extract of Pulsatilla Koreana (SB-31) showed promising antitumor activity in vitro with Topo I inhibitory action. In the present study, the relationship between apoptosis and the apoptosis related proteins, bcl-2 and bax were investigated in human leukemic cell lines HL-60, U-937 and CEM-CM3. All anticancer drugs(adriamycin, etoposide, camptothecin, SB-31) induced extensive apoptosis in HL-60, U-937 cells and CEM-CM3 cells. The expression of bcl-2 and bax protein were determined in cell lines by western blotting before and after incubation with anticancer drugs at different time points. 1) In HL-60 or U-937 cell lines, down regulation of bcl-2 and up-regulation of bax were found after incubation with ADR, VP-16 or camptothecin. 2) In HL-60 or U-937 cell lines, no significant change in bcl-2 or bax protein expression resulted after incubation with SB-31. 3) In CEM-CM3 cells, virtually no change was noted in bcl-2/bax expression after incubation with ADR, VP-16, camptothecin or SB-31. It is suggested that different leukemic cell lines use different pathways of apoptosis activation and a given cell may utilize different pathways of apoptosis activation in response to different cytotoxic agents.

관상동맥 스텐트 삽입술을 시행한 환자에서 안지오텐신 전환효소 억제제와 안지오텐신 수용체 차단제가 재협착에 미치는 영향

김연경,정진원,윤경호,박은미,송미진,최준호,이은미,유남진,김남호,오석규 圓光大學校 醫科學硏究所 2006 圓光醫科學 Vol.21 No.1